[Harga diri rendah kronis merupakan salah satu diagnosis keperawatan yang sering
ditemukan di rumah sakit jiwa. Prosentase pasien harga diri rendah kronis di
ruang Arimbi periode Februari–April 2012 mencapai 90.4% dari jumlah total
pasien. Jumlah pasien dengan diagnosis utama harga diri rendah kronis yang
dikelola penulis sebanyak 22 orang. Tujuan penulisan karya ilmiah akhir ini
adalah menguraikan aplikasi terapi spesialis keperawatan jiwa terhadap pasien
harga diri rendah kronis melalui pendekatan model Stress Adaptasi Stuart. Metode
yang digunakan dalam penulisan ini adalah studi serial kasus dengan kombinasi
tujuh paket terapi. Hasil aplikasi terapi spesialis keperawatan jiwa ini
menunjukkan adanya penurunan tanda dan gejala, peningkatan kemampuan
pasien, serta peningkatan kemampuan keluarga dalam merawat pasien harga diri
rendah kronis. Efektifitas terapi menunjukan bahwa kombinasi terapi individu
(terapi kognitif perilaku dan logoterapi), terapi kelompok (terapi suportif
kelompok) dan terapi keluarga (psikoedukasi keluarga) efektif menurunkan gejala,
meningkatkan kemampuan pasien dan meningkatkan kemampuan keluarga dalam
merawat pasien harga diri rendah kronis. Rekomendasi : kombinasi terapi
individu, terapi kelompok dan terapi keluarga sangat tepat diberikan pada pasien
gangguan jiwa khususnya pasien harga diri rendah kronis dan diperlukan
penelitian lebih lanjut., The prevalence of mental disorders each year has increased significantly. Based
on the Health Research Association in 2007 showed that the incidence of severe
mental disorder in Indonesia of 4.6 ‰. Statistical data show that the mental health
directorate of mental patients is the largest of schizophrenia by 70% (Dep.Kes,
2003). The results of several studies have shown some good therapy generalists
and specialists give significant results to reduce chronic low self-esteem such as
cognitive therapy, cognitive behavioral therapy, and family psikoeducation
logotherapy. The purpose of this final scientific work is to describe the soul of
nursing specialist therapy applications for patients of chronic low self-esteem
through modeling approaches Stuart Stress Adaptation. Therapy applications
specialist mental nursing was conducted on 22 patients of chronic low self-esteem
in the Arimbi RSMM Bogor. The results of therapy applications of this spirit of
nursing specialists showed a decrease in the signs and symptoms, improvement in
the patient's ability to cope with chronic low self-esteem, and increase the ability
of families in caring for patients of chronic low self-esteem. Effectiveness of
therapy showed that the combination of individual therapy (cognitive behavioral
therapy and logotherapy), group therapy (supportive group therapy) and family
therapy (family psikoedukation) effectively reduce symptoms of chronic low selfesteem,
improve the patient's ability to overcome chronic low self-esteem and
improve the ability of families in care for patients of chronic low self-esteem.
Recommendation: The combination of individual therapy, group therapy and
family therapy is appropriate given the patient's mental disorders, especially
patients with chronic low self-esteem.]
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